title: [Continuous perfusion of low doses of insulin in severe diabetic decompensation (author's transl)].
abstract: Twenty one episodes of severe uncontrolled diabetes, most of them with ketoacidosis, were treated at a Medical Intensive Care Unit with fluid and electrolyte replacement and continuous perfusion of low doses of insulin. The overall results of this therapeutic approach were a progressive and gradual return to normality of all biochemical parameters with a fall of serum glucose levels and no hypoglycemic or hypokalemic accidents. Based on this study and on a review of the literature, an updated protocol for therapy of diabetic ketoacidosis is proposed.
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001786:Blood Glucose; D002648:Child; D003920:Diabetes Mellitus / Q000188:drug therapy*; D016883:Diabetic Ketoacidosis / Q000188:drug therapy; D005260:Female; D006801:Humans; D006863:Hydrogen-Ion Concentration; D006944:Hyperglycemic Hyperosmolar Nonketotic Coma / Q000188:drug therapy; D007328:Insulin / Q000008:administration & dosage*; D008297:Male; D008875:Middle Aged; D011188:Potassium / Q000097:blood
chemical_list: D001786:Blood Glucose; D007328:Insulin; D011188:Potassium
vernacular_title: Perfusión contunua de bajas dosis de insulina en la descompensación diabética grave.